Provider Demographics
NPI:1144392218
Name:CHAMBLESS, JULIEMARIE
Entity Type:Individual
Prefix:MRS
First Name:JULIEMARIE
Middle Name:
Last Name:CHAMBLESS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25473 CANAL RD
Mailing Address - Street 2:LOT#21
Mailing Address - City:ORANGE BEACH
Mailing Address - State:AL
Mailing Address - Zip Code:36561-5812
Mailing Address - Country:US
Mailing Address - Phone:251-223-3178
Mailing Address - Fax:
Practice Address - Street 1:25473 CANAL RD
Practice Address - Street 2:LOT#21
Practice Address - City:ORANGE BEACH
Practice Address - State:AL
Practice Address - Zip Code:36561-5812
Practice Address - Country:US
Practice Address - Phone:251-223-3178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered372500000XNursing Service Related ProvidersChore Provider
Not Answered376J00000XNursing Service Related ProvidersHomemaker